Background: Transformational leader ship skill (TLS) plays a crucial role in hospital management and

administration. Unfortunately, healthcare providers (HCPs) lack the essential awareness of transformational

leadership skills (TLS). There is a dire need to adopt different strategies to improve their knowledge and skills.

Objective: To assess the improvement in the knowledge and skills about transformational leadership among

head nurses after intervention of transformational leadership.

Methodology: A quasi-experimental study included 96 head nurses, designated with a multistage cluster random

sampling technique. Ninety-six days of structured sessions were organized in two shifts (morning and evening).

Pertinently, pre-intervention and post-intervention were organized for four months i.e. six hours per week, one

hour per day.

Results: The present study showed that transformational leadership knowledge and skills have a significant

impact on head nurses’ performance. Insufficient pre-intervention scores of the study participants explained

inadequate knowledge. After the 96 days (one hour/day) sessions, there was a highly significant improvement in

the knowledge scores 88.5%, and skills(***p ≤0.001), df =95of head nurses regarding transformational leadership.

Conclusion: The currents study showed that head nurses had inadequate knowledge regarding transformational

leadership. The knowledge was significantly improved after the intervention of transformational teaching and

training sessions. The addition of consistent training programs in the curriculum may ensure leadership skills to

enhance the quality of nursing care as well as the commitment of employees. Therefore, it is concluded that

knowledge and skills are significant predictors of the head nurses’ job performance.

Keywords: Transformational Leadership, Head Nurses, Knowledge, Practice, Performance